MULTIPLE PACKS

As pharmacists we must always comply explicitly with your doctors prescribed directions this includes the quantity of the prescription goods to be supplied. Therefore the only time we can supply an increased quantity of a prescribed medicine is if the doctor prescribes that quantity for you.

AUTHORITY PRESCRIPTION

Some PBS medications are restricted and require prior approval from Medicare before a doctor is able to prescribe them on the PBS. This prior approval to prescribe grants the doctor the Authority to prescribe the desired medicine and have it funded under the PBS.
Authority to prescribe an Authority medicine is granted for specific indications and/or for certain patient circumstances. Authority may be obtained by telephone to Medicare Australia (known as "phone approval") or in writing from an authorised delegate of the Minister for Health.
Prescriptions must be written on an Authority Prescription Form, and the approval number must be noted on the prescription. Pharmacists cannot dispense the item as a pharmaceutical benefit unless it has been approved by Medicare Australia (indicated by the presence of the approval number).
Some drugs may have Authority Required (Streamlined) status which does not require an explicit approval from Medicare, instead the doctor can use the Authority code found in the published Schedule for a given drug/indication.
But still pharmacists cannot dispense the item as a pharmaceutical benefit unless it has the necessary Authority code.

PHARMACIST ONLY MEDICINE

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283.
The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched.
This is not required if you have a doctor's prescription.

S8 NOTE

This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland.
Any prescriptions from any other state cannot be filled and will be returned in the mail.

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Vytorin 10/10mg Tablets 30

Product ID: 60947

$64.39

SAVE $19.46

Don't Pay RRP: $83.85

PLEASE NOTE: Product in high demand -Leaves warehouse in 2-4 business days.

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PLEASE READ THE CONDITIONS BELOW AND CHECK THE BOX TO ENABLE PURCHASE OF THIS PRODUCT.

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.
I agree with the terms and conditions of ordering this product

Information

General Information

Consumer Medicine InformationWhat is in this leafletThis leaflet answers some common questions about VYTORIN. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.All medicines have risks and benefits. Your doctor has weighed the risks of you taking VYTORIN against the benefits they expect it will have for you.If you have any concerns about taking this medicine, ask your doctor or pharmacist.

Keep this leaflet with the medicine. You may need to read it again.

What VYTORIN is used forVYTORIN helps to lower cholesterol and triglyceride levels. It is used in people whose cholesterol levels are too high and when diet alone cannot lower these levels adequately.CholesterolCholesterol is one of several fatty substances found in the bloodstream. Your total cholesterol is made up mainly of LDL and HDL cholesterol.

LDL cholesterol is often called 'bad' cholesterol because it can build up in the walls of your arteries forming plaque. Eventually this plaque build-up can lead to a narrowing of the arteries.This narrowing can slow or block blood flow to vital organs such as the heart and brain. This blocking of blood flow can result in a heart attack or stroke.HDL cholesterol is often called 'good' cholesterol because it helps keep the bad cholesterol from building up in the arteries and protects against heart disease.TriglyceridesTriglycerides are another form of fat in your blood that may increase your risk for heart disease.

How VYTORIN works

VYTORIN reduces elevated total-cholesterol, LDL (bad) cholesterol and triglycerides and increases HDL (good) cholesterol.VYTORIN works by decreasing the absorption of cholesterol in the small intestine and by reducing the amount of cholesterol made in the liver. VYTORIN does not help you lose weight.Your doctor may have prescribed VYTORIN for another reason. Ask your doctor if you have any questions about why VYTORIN has been prescribed for you.VYTORIN is not addictive.VYTORIN is not recommended for use in children, as there have been no studies of its effects in children.Before you take VYTORINWhen you must not take it

Do not take VYTORIN if:you have an allergy to VYTORIN or any of the ingredients listed at the end of this leaflet. Symptoms of an allergic reaction may include skin rash, itchiness, shortness of breath, swelling of the face, lips, mouth, tongue or throat.you are pregnant or breast feeding. Your baby may absorb this medicine in the womb or from breast milk and therefore there is a possibility of harm to the baby.you have active liver disease or repeated blood tests indicating possible liver problems.you have had muscle pain, tenderness or weakness from other medicines used to treat high cholesterol or triglycerides.the packaging is torn or shows signs of tampering.the expiry date on the pack has passed. If you take this medicine after the expiry date has passed, it may not work.

If you are not sure whether you should start taking VYTORIN, talk to your doctor.

Before you start to take it

Tell your doctor if: 1. you are pregnant or intend to become pregnant. VYTORIN should not be used during pregnancy. 2. you are breast-feeding.VYTORIN should not be used while breast feeding. 3. you have unexplained muscle pain, tenderness or weakness not caused by exercise. Your doctor may do a blood test to check for certain muscle problems. 4. you are taking niacin or a niacin-containing product and are Chinese. 5. you have, or have had, any medical conditions, including liver disease or liver problems.Your doctor will do a blood test to make sure you have no problems with your liver. 6. you have kidney disease or any other medical problems. 7. you drink alcohol regularly. 8. you have any allergies to any other medicines or any other substances, such as foods, preservatives or dyes.

If you have not told your doctor about any of the above, tell them before you take any VYTORIN.

Taking other medicines

Tell your doctor if you are taking any other medicines, including medicines that you buy without a prescription from your pharmacy, supermarket or health food shop.

Some medicines should not be taken with VYTORIN. These include:nefazodone, used to treat depressionprotease inhibitors, used to treat HIV infection, including indinavir, nelfinavir, ritonavir, saquinavirerythromycin, clarithromycin and fusidic acid, antibiotics used to treat infectionsketoconazole and itraconazole, used to treat certain fungal infections

If you are taking any of the above, your doctor may suggest stopping VYTORIN temporarily or permanently.Some medicines and VYTORIN may interfere with each other. These include:bile acid sequestrants, such as cholestyramine, used to lower cholesterol levels.other medicines to lower cholesterol levels, for example gemfibrozil, other fibrates, nicotinic acid (also known as niacin).warfarin, used to prevent blood clotscyclosporin, used to suppress the immune systemdanazolverapamil, used to treat high blood pressure and anginadiltiazem, used to treat anginaamiodarone, used to treat irregular heart beatamlodipine, used to treat high blood pressure and anginadigoxin, used to treat heart failure

These medicines may be affected by VYTORIN, may affect how well it works, or may increase the risk of side effects with VYTORIN. You may need different amounts of your medicine, or you may need to take different medicines or take your medicines at different times.Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking VYTORIN.How to take VYTORINHow much to take

Take VYTORIN only when prescribed by your doctor.

The recommended dose is one VYTORIN 10/10, 10/20, 10/40 or 10/80 tablet once a day, in the evening.The VYTORIN 10/80 tablet is only for patients who have not yet reached their cholesterol goal on the 10/40 tablet.Swallow VYTORIN with a glass of water.

Follow all directions given to you by your doctor and pharmacist carefully. They may differ from the information contained in this leaflet.

If you do not understand the instructions, ask your doctor or pharmacist for help.

When to take it

VYTORIN should be taken once a day, in the evening.

The liver produces its greatest amount of cholesterol when the body is at rest and when there is no dietary intake. For most people this is at night when asleep. Therefore, VYTORIN is more effective when taken in the evening. A good time would be after your evening meal. However, it does not matter whether you take it before or after food.However, take VYTORIN about the same time each day. Taking VYTORIN at the same time each day will have the best effect. It will also help you remember when to take your dose.

Your doctor may ask you to take VYTORIN with other cholesterol lowering agents such as bile acid sequestrants.If you are taking a bile acid sequestrant, such as cholestyramine, take your VYTORIN either at least two hours before or four hours after taking the bile acid sequestrant.

How long to take it

VYTORIN helps lower your cholesterol. It does not cure your condition.Therefore, you must continue to take it as directed by your doctor if you expect to lower your cholesterol and keep it down.

You may have to take cholesterol lowering medicine for the rest of your life. If you stop taking VYTORIN, your cholesterol levels may rise again.If you forget to take it

If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking your tablet as you would normally.

If you are not sure whether to skip the dose, talk to your doctor or pharmacist.

Do not take a double dose to make up for the dose that you missed.

If you have trouble remembering to take your tablet, ask your pharmacist for some hints.

If you take too much (overdose)

Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26), or go to accident and emergency at your nearest hospital, if you think that you or anyone else may have taken too much VYTORIN. Do this even if there are no signs of discomfort or poisoning.

While you are using VYTORINThings you must do

If you become pregnant while taking VYTORIN, stop taking it and tell your doctor immediately.

Have your blood fats checked when your doctor says, to make sure VYTORIN is working. Even if you are taking medicines to treat high cholesterol, it is important to have your cholesterol measured regularly. You should also know your cholesterol levels and goals.

If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking VYTORIN.

If you are about to have elective surgery, tell your doctor that you are taking VYTORIN. Your doctor may suggest stopping the tablets a few days before surgery.

Things you must not do

Do not give VYTORIN to anyone else, even if they have the same condition as you.

Things to be careful of

Avoid drinking large quantities of alcohol. Drinking large quantities of alcohol may increase your chance of VYTORIN causing liver problems.

Avoid drinking large quantities of grapefruit juice. Grapefruit juice contains one or more components that alter the metabolism of some medicines, including VYTORIN. Therefore, drinking very large quantities (over 1 litre) of grapefruit juice each day increases your chance of VYTORIN causing side effects. These include aching muscles, muscle tenderness or weakness, not caused by exercise. However, one glass (250mL) of grapefruit juice each day has not been shown to have any significant effect.

Be careful driving or operating machinery until you know how VYTORIN affects you. There have been side effects reported with VYTORIN that may affect your ability to drive or operate machinery. Individual responses to VYTORIN may vary.

Medicines -cholesterol-lowering medicines are used together with lifestyle changes to help lower cholesterol.

Side EffectsTell your doctor or pharmacist as soon as possible if you do not feel well while you are taking VYTORIN. VYTORIN helps most people with high cholesterol, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor immediately or go to accident and emergency at your nearest hospital, if you notice any of the following:swelling of the face, lips, mouth, throat or tongue which may cause difficulty in swallowing or breathing

These are serious side effects. If you have them, you may have had a serious allergic reaction to VYTORIN. You may need urgent medical attention or hospitalisation. Serious side effects are rare.Tell your doctor immediately if you notice any of the following:skin rash and hivesraised red rash, sometimes with target-shaped lesionsdark coloured urinelight coloured bowel motionsyellowing of the skin and eyesjoint painbleeding or bruising more easily than normalsteady abdominal pain with nausea and vomiting.

These may be serious side effects. You may need urgent medical attention. Serious side effects are rare.Tell your doctor immediately if you notice the following:unexplained muscle aches, tenderness or weakness, not caused by exercise.

This may be a serious side effect. This is because on rare occasions, muscle problems can be serious, including muscle breakdown resulting in kidney damage. You may need urgent medical attention.The risk of muscle breakdown is greater at higher doses of VYTORIN.The risk of muscle breakdown is greater for older patients (65 years of age and older), female patients, patients with kidney problems , and patients with thyroid problems.Serious side effects are rare.Other side effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects.

Tell your doctor if you notice any of the following:HeadacheNauseaUnusual tiredness or weaknessMuscle achesDizziness

These are the more common side effects of VYTORIN or of either ezetimibe or simvastatin.Tell your doctor if you notice any of the following:DepressionTingling or numbness of the hands or feetTrouble sleepingPoor memory

These are rare side effects of ezetimibe.Do not be alarmed by these lists of possible side effects. You may not experience any of them.

After using VYTORINStorage

Keep your tablets in the blister pack until it is time to take them. If you take the tablets out of the blister pack they may not keep well.

Keep VYTORIN in a cool dry place where the temperature stays below 25 degrees C. Do not store it or any other medicine in the bathroom or near a sink.

Do not leave it in the car or on window sills. Heat and dampness can destroy some medicines.

Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

Disposal

If your doctor tells you to stop taking VYTORIN or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.

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*Your pharmacist will advise you whether the preparation is suitable for your condition. *Always read the label. Use only as directed. If symptoms persist, see your Healthcare Professional. Vitamins may only be of assistance if your dietary intake is inadequate.